摘要
目的:探讨小儿头颈部囊状淋巴管瘤的诊断和有效的治疗方法。方法:回顾分析我院15例经病理确诊的小儿头颈部囊状淋巴管瘤的临床资料,对其临床特点、治疗方法以及随访结果进行分析。结果:所有患者手术前均行B超或CT等检查,了解病变位置、大小和范围。15例皆经手术切除,其中14例完整切除,1例行次全切除。术后1例出现轻微口角偏斜,1例出现Horner综合征,1例气管切开患儿在出院前已拔套管。13例完整切除者随访6个月～8年,均未见复发;1例次全切除者随访2年未见复发;1例失访。1例轻微口角偏斜经康复治疗有所好转,1例Horner综合征患儿经康复治疗未能好转。结论:B超及CT检查是小儿头颈部囊状淋巴管瘤的有效诊断方法,也是术前手术安全性评估的依据;手术治疗是囊状淋巴管瘤的有效治疗方法,为了避免并发症产生,术中允许少量残留。
Objective：To discuss the diagnosis and effective treatment of cystic lymphangiomas located in head and neck in children.Method：Fifteen cystic lymphangiomas,diagnosed with pathological evidence,located in head and neck in children were retrospectively analyzed including clinical characteristics,diagnosis,treatment and follow-up data.Result：CT and ultrasonography were used to evaluate the size,shape and extent of lymphangiomas in all patients.All patients were treated with surgery.Complete resection was performed in 14 cases,and subtotal resection in one case.Two post-operative complications were found,one was paralyses of mandibular branch of facial nerve,another was Horner＇s syndrome.Tracheotomy operation was done in one case,and the tracheal cannula was taken away before discharged from hospital.Fourteen patients were followed up.There was no recurrence during the follow-up from 6 months to 8 years,while one case who suffered from Horner＇s syndrome after operation was not cured.Conclusion：CT and ultrasonography are effective to diagnose cystic lymphangiomas and evaluate the security of clinical treatment.Total or subtotal resection is effective to treat cystic lymphangiomas.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2011年第3期97-99,102,共4页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
囊状淋巴管瘤
头颈部肿瘤
小儿
cystic lymphangioma
head and neck neoplasms
children
